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General NPI Number Information
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NPI Number | 1881839736
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Entity Type | Organization
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Legal Business Name | AGILITY HOMECARE INC
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Dates
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Enumeration Date | 12/06/2008
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Last Update Date | 12/21/2016
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Provider Practice Location Address
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Address Line | 17200 W 10 MILE RD SUITE 206
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City | SOUTHFIELD
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State | MI
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Zip | 48075-2928
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Country | US
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Telephone | 248-557-3243
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Fax | 248-557-3250
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Provider Business Mailing Address
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Address Line | 17200 W 10 MILE RD SUITE 206
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City | SOUTHFIELD
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State | MI
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Zip | 48075-2928
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Country | US
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Telephone | 248-557-3243
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Fax | 248-557-3250
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Authorized Official
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Title or Position | PRESIDENT/ADMINISTRATOR
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Name | JOSE RODRIGUEZ
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Credential | PT
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Telephone | 248-557-3243
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | N/A
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License Number State |
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